Individual provider Active NPI

Damaso Alberto Maresma

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1932845609
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019341 Issued in FL
Practice address
2500 Del Prado Blvd S
Cape Coral, FL 33904
Phone
(239) 772-1194
Fax
(786) 396-1466
NPI assigned
May 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019341 FL Primary

Addresses

Primary practice location

2500 Del Prado Blvd S
Cape Coral, FL 33904

Mailing address

17167 3 Oaks Pkwy Unit 1237
Fort Myers, FL 33967-5374
Phone (239) 810-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103000038 FL Practitioner - Nurse Practitioner 5294102331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Coral Way Center CorpGroup PAC ID 5496738536, 6 clinicians
Carmona Medical Care IncGroup PAC ID 4486076080, 8 clinicians

Practice addresses (Care Compare)

1401 S Military TRL
West Palm Beach, FL 33415-5721
Phone (561) 429-3122

2307 Bolado Pkwy
Cape Coral, FL 33990-2712
Phone (239) 424-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019341FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Del Prado Medical Center Inc CurrentSince Oct 1, 2022 Accepting new patients
Medical Coral Way Center Corp CurrentSince Aug 1, 2025 Accepting new patients
Carmona Medical Care Inc CurrentSince Aug 28, 2024 Accepting new patients

Locations

1708 Cape Coral Pkwy W
Ste 4
Cape Coral, FL 33914
Phone (239) 945-5940

2500 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 541-1095

2307 Bolado Pkwy
Cape Coral, FL 33990
Phone (239) 424-8122

1401 S Military Trl
#C1
West Palm Beach, FL 33415

1401 S Military Trl
West Palm Beach, FL 33415
Phone (561) 429-3122

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/mdvita.dpmc

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1932845609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17167 3 OAKS PKWY UNIT 1237",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675374",
            "telephone_number": "239-810-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-772-1194",
            "fax_number": "786-396-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESMA",
        "first_name": "DAMASO",
        "middle_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.